Program Operations Manual System (POMS)

DI 11010.645 Request for FO Development of Medical Evidence

Procedure

In some situations, the DDS or OCO/ODO will need FO assistance in developing medical evidence. The DDS will use the SSA-883-U3, and OCO/ODO will use the SSA-5526-U3 (Request for Additional Evidence of Disability) to make these requests. Whenever possible, make direct contact with the medical source. Always use the appropriate form(s) to contact the source by mail. If a source states that a report was recently sent, another report may not be necessary. However, when it is obvious that the report has been lost or misplaced (e.g., sufficient mailing time has elapsed since the report was mailed but the requesting office has not received the report), ask the source to submit another report. When the evidence is not available from the source, explain what attempts were made to secure the needed information in the appropriate sections of the SSA-883-U3 or SSA-5526-U3, as appropriate, and return the form to the DDS or OCO/ODO.

When the claimant must be contacted, use good judgment in determining the best method of contact (e.g., direct contact or mail). In any case, explain to the claimant what is needed (e.g., the DDS or OCO/ODO has not been able to secure certain medical evidence). Stress the importance of the medical evidence to the claim decision. Also, explain how the lack of this evidence may affect the disability determination.